This government document is issued by State Treasurer for use in Kansas
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https://www.google.com/url?client=internal-element-cse&cx=56fc972f98df492fb&q=https://kansascash.ks.gov/assets/files/Application_2024-030-40101d.pdf&sa=U&ved=2ahUKEwj4otbjnOyGAxVp_rsIHW1GDPM4ChAWegQIARAC&usg=AOvVaw2wndaxSRbKXuN-RDfwZqTo&arm=e&fexp=72519171,72519168